Laryngotracheal reconstruction of the congenital glotto-subglottic stenosis with autogenous thyroid cartilage interposition: a case report

Yıl 2002, Cilt: 9 Sayı: 2, 132 - 137, 12.03.2002

Orhan Özturan Ahmet Kızılay Murat Cem Miman Mahmut Tayyar Kalcıoğlu Tamer Erdem Semih Öncel

Öz

Surgical correction of grade III glotto-subglottic stenosis in a two-month-old girl was illustrated in a staged man- ner. Firstly, a silicone keel was placed via anterior thyro- tomy following a tracheotomy. Secondly, laryngotra­ cheal reconstruction was performed by interposing an autogenous thyroid cartilage anteriorly between the edges of the longitudinally divided cricoid cartilage and the upper tracheal rings. A stentwas maintained fortwo months. The glottis and subglottis appeared patent and healed following removal of the stent. A meaningful voice and rather comfortable respiration were observed during a 13-month follow-up.The use of thyroid cartilage autograft offers many advantages in laryngotracheal reconstruction with considerably less technical difficulty.

Anahtar Kelimeler

Cartilage/transplantation, laryngeal cartilages/transplantation, laryngeal diseases/surgery/congenital, laryngostenosis/surgery/congenital, tracheal stenosis/surgery, transplantation, autologous

Doğuştan glotto-subglottik stenozun otojen tiroit kartilaj interpozisyonu ile larengotrakeal rekonstrüksiyonu: Bir olgu sunumu

Öz

Grade III doğufltan glotto-subglottik stenozlu iki aylık bir kız bebekte aflamalı cerrahi tedavi uyguladık. İlk aflamada, trakeotomiyi takiben anterior tirotomi yo- luyla silikon bir kil yerlefltirildi. İkinci aflamada, önde ve orta hatta longitudinal olarak kesilen krikoid ve üst trakeal halkaların kenarları arasına otojen tiroit kartilaj greftinin interpozisyonu ile larengotrakeal re- konstrüksiyon yapıldı. İki ay süreyle stent uygulandı. Stentin alınmasını takiben glottis ve subglottisin açık ve iyileflmifl olduğu görüldü. On üç aylık izlem sıra- sında anlamlı bir ses ve oldukça rahat solunum göz- lendi. Larengotrakeal rekonstrüksiyonda tiroit kartilaj otogreftinin kullanımı, önemli derecede teknik kolay- lıklar yanı sıra birçok avantaj sağlamaktadır

Anahtar Kelimeler

Kartilaj/transplantasyon, larenjeal kıkırdaklar/transplantasyon, larenjeal hastalıklar/doğuştan/cerrahi, larengostenoz/doğuştan/cerrahi, trakeal stenoz/cerrahi, transplantasyon, otolog.

Kaynakça

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